Jalissa Joy Kruckman is a Waconia, Minnesota based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jalissa Joy Kruckman is D12793 for General Practice Dentistry in Minnesota. Her current practice location is 576 Cherry Dr, Waconia. Patients can reach her at 952-679-4461.
Jalissa Joy Kruckman is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jalissa Joy Kruckman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jalissa Joy Kruckman
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
576 Cherry Dr, Waconia, Minnesota, 55387
Phone:
952-679-4461
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114238821
NPI Enumeration Date:
28 Jun, 2010
NPI Last Update On:
16 Jul, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jalissa Joy Kruckman are as mentioned below.
License Number
Specialization
State
Status
D12793
General Practice Dentistry
Minnesota
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
576 Cherry Dr, Waconia, Minnesota
Zip:
55387-4578
Phone Number:
952-679-4461
Patients can reach Jalissa Joy Kruckman at 576 Cherry Dr, Waconia, Minnesota or can call to book an appointment on 952-679-4461. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.